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[PMID]:28468133
[Au] Autor:Cohen SM; Rosett BE; Shifrin DA
[Ad] Endereço:Division of Plastic and Reconstructive Surgery, University of Illinois at Chicago, Chicago, IL.
[Ti] Título:An Analysis of Independent Variables Affecting Surgical Outcomes in Patients Undergoing Repair of Maxillofacial Trauma: An American College of Surgeons National Surgical Quality Improvement Program Study.
[So] Source:J Craniofac Surg;28(3):596-599, 2017 May.
[Is] ISSN:1536-3732
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Facial fractures, from straightforward closed nasal reductions to complex pan facial fractures, are commonly encountered in the Plastic Surgical community. However, very little has been discussed in the literature regarding the outcomes of facial fractures relating to contributing factors. Our aim was to evaluate a battery of independent variables in order to identify, which, if any, factors correlate with suboptimal outcomes in patients who have undergone facial fracture surgery. METHODS: Under the data use agreement of the American College of Surgeons public use files of the NSQIP, patients involving repair of facial fractures, Current Procedural Terminology codes 21310 to 21470 inclusive, were queried. The outcomes examined included: wound dehiscence, superficial surgical site infection, deep surgical site infection, readmission, open wound/wound infection and return to the operating room. RESULTS: There were 2069 facial fracture patients in the National Surgical Quality Improvement Program datasets (2005-2013). Thirteen perioperative risk factors and patient comorbidities were evaluated for correlation with the 6 outcomes. Of the 6 outcomes evaluated, open wound/wound infection was the most prevalent outcome (6%). Factors statistically significant for presence of open wound/wound infection were American Society of Anesthesiology classification (P = 0.002), presence of bleeding disorder (P = 0.008), emergency patient (P = 0.001), chronic alcohol use (P = 0.002), and chronic steroid use (P = 0.034). DISCUSSION: Several factors correlated with presence of an open wound/wound infection; however, variables such as diabetes and active tobacco use, which are often thought to contribute to wound infections, were shown to be statistically nonsignificant. Although this study was limited by its observational nature, these data may indicate a change in perception of the factors correlated with wound infections.
[Mh] Termos MeSH primário: Ossos Faciais/lesões
Fixação de Fratura
Traumatismos Maxilofaciais/cirurgia
Fraturas Cranianas/cirurgia
[Mh] Termos MeSH secundário: Bases de Dados Factuais
Ossos Faciais/cirurgia
Seguimentos
Seres Humanos
Readmissão do Paciente/estatística & dados numéricos
Complicações Pós-Operatórias/etiologia
Melhoria de Qualidade
Reoperação/estatística & dados numéricos
Fatores de Risco
Resultado do Tratamento
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180202
[Lr] Data última revisão:
180202
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1097/SCS.0000000000003545


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[PMID]:29157541
[Au] Autor:Alimohammadi R
[Ad] Endereço:Oral and Maxillofacial Radiology, University of Texas Health Science Center San Antonio, School of Dentistry, 7703 Floyd Curl Drive, San Antonio, TX 78229, USA. Electronic address: Alimohammadi@uthscsa.edu.
[Ti] Título:Imaging of Dentoalveolar and Jaw Trauma.
[So] Source:Radiol Clin North Am;56(1):105-124, 2018 Jan.
[Is] ISSN:1557-8275
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Prior to the invention of cone beam CT, use of 2-D plain film imaging for trauma involving the mandible was common practice, with CT imaging opted for in cases of more complex situations, especially in the maxilla and related structures. Cone beam CT has emerged as a reasonable and reliable alternative considering radiation dosage, image quality, and comfort for the patient. This article presents an overview of the patterns of dental and maxillofacial fractures using conventional and advanced imaging techniques illustrated with multiple clinical examples selected from the author's oral and maxillofacial radiology practice database.
[Mh] Termos MeSH primário: Traumatismos Mandibulares/diagnóstico por imagem
Fraturas Maxilares/diagnóstico por imagem
Traumatismos Maxilofaciais/diagnóstico por imagem
Radiografia Dentária/métodos
Tomografia Computadorizada por Raios X/métodos
Traumatismos Dentários/diagnóstico por imagem
[Mh] Termos MeSH secundário: Diagnóstico Diferencial
Seres Humanos
Intensificação de Imagem Radiográfica/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171128
[Lr] Data última revisão:
171128
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171122
[St] Status:MEDLINE


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[PMID]:28868910
[Au] Autor:Klenk G; Katona J; Kenderfi G; Lestyán J; Gombos K; Hirschberg A
[Ad] Endereço:Fül-Orr-Gége és Szájsebészeti Osztály, Szent János Kórház és Észak-budai Egyesített Kórházak Budapest, Diós árok 1-3., 1125.
[Ti] Título:[Orbital compartment syndrome. The most frequent cause of blindness following facial trauma].
[Ti] Título:Orbitakompartment-szindróma. Arcot ért trauma következtében leggyakrabban vakságot okozó állapot..
[So] Source:Orv Hetil;158(36):1410-1420, 2017 Sep.
[Is] ISSN:0030-6002
[Cp] País de publicação:Hungary
[La] Idioma:hun
[Ab] Resumo:INTRODUCTION: Although orbital compartment syndrome is a rare condition, it is still the most common cause of blindness following simple or complicated facial fractures. Its pathomechanism is similar to the compartment syndrome in the limb. Little extra fluid (blood, oedema, brain, foreign body) in a non-space yielding space results with increasingly higher pressures within a short period of time. Unless urgent surgical intervention is performed the blocked circulation of the central retinal artery will result irreversible ophthalmic nerve damage and blindness. Aim, material and method: A retrospective analysis of ten years, 2007-2017, in our hospital among those patients referred to us with facial-head trauma combined with blindness. RESULTS: 571 patients had fractures involving the orbit. 23 patients become blind from different reasons. The most common cause was orbital compartment syndrome in 17 patients; all had retrobulbar haematomas as well. 6 patients with retrobulbar haematoma did not develop compartment syndrome. Compartment syndrome was found among patient with extensive and minimal fractures such as with large and minimal haematomas. Early lateral canthotomy and decompression saved 7 patients from blindness. CONCLUSION: We can not predict and do not know why some patients develop orbital compartment syndrome. Compartment syndrome seems independent from fracture mechanism, comminution, dislocation, amount of orbital bleeding. All patients are in potential risk with midface fractures. We have a high suspicion that orbital compartment syndrome has been somehow missed out in the recommended textbooks of our medical universities and in the postgraduate trainings. Thus compartment syndrome is not recognized. Teaching, training and early surgical decompression is the only solution to save the blind eye. Orv Hetil. 2017; 158(36): 1410-1420.
[Mh] Termos MeSH primário: Cegueira/etiologia
Síndromes Compartimentais/diagnóstico
Síndromes Compartimentais/etiologia
Traumatismos Craniocerebrais/complicações
Fraturas Orbitárias/diagnóstico
Fraturas Orbitárias/etiologia
[Mh] Termos MeSH secundário: Cegueira/cirurgia
Feminino
Seres Humanos
Masculino
Traumatismos Maxilofaciais/complicações
Órbita/cirurgia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171026
[Lr] Data última revisão:
171026
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170905
[St] Status:MEDLINE
[do] DOI:10.1556/650.2017.30850


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[PMID]:28841625
[Au] Autor:Doumit G; Totonchi A; Wexler A; Gosain AK
[Ad] Endereço:Montreal, Quebec, Canada; Cleveland, Ohio; Los Angeles, Calif.; Chicago, Ill. From the Division of Plastic Surgery, University of Montreal; the Division of Plastic Surgery, Metro Hospital; the Division of Plastic Surgery, Kaiser Permanente Medical Center; and the Division of Plastic Surgery, Lurie Children's Hospital of Northwestern Feinberg School of Medicine.
[Ti] Título:American Society of Maxillofacial Surgeons 2006 to 2016: Another Decade of Excellence in Education and Research.
[So] Source:Plast Reconstr Surg;140(3):487e-494e, 2017 Sep.
[Is] ISSN:1529-4242
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Over the past 10 years, the American Society of Maxillofacial Surgeons (ASMS) has continued to advance to meet its mission of being the premier organization to represent maxillofacial and pediatric plastic surgery in the United States. These advances are focused on education of its members, to include the American Society of Maxillofacial Surgeons basic course, the preconference symposium, the annual meeting, two basic maxillofacial courses per year, advanced maxillofacial courses, a boot camp for craniofacial fellows, a cleft course, quarterly webinars, sponsored fellowships, a visiting professorship, and the ASMS journal. In addition, the ASMS has continued to advance as the premier national organization representing maxillofacial and pediatric plastic surgery in the United States, thereby positioning the organization as a primary advocate for these surgical specialties. Outreach of the ASMS has grown over the past decade and now includes representatives to the American Society of Plastic Surgeons/Plastic Surgery Foundation, the American Board of Plastic Surgeons, the American Medical Association, and most recently a seat as a governor with the American College of Surgeons. The ASMS has also initiated an annual Summer Leadership Seminar to explore topics of relevance in a changing health care environment. The present report outlines the major initiatives of the ASMS over the past 10 years.
[Mh] Termos MeSH primário: Anormalidades Maxilofaciais/cirurgia
Traumatismos Maxilofaciais/cirurgia
Sociedades Médicas
Cirurgia Plástica
[Mh] Termos MeSH secundário: Pesquisa Biomédica
Seres Humanos
Cirurgia Plástica/educação
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170918
[Lr] Data última revisão:
170918
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170826
[St] Status:MEDLINE
[do] DOI:10.1097/PRS.0000000000003599


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[PMID]:28817607
[Au] Autor:Egger J; Wallner J; Gall M; Chen X; Schwenzer-Zimmerer K; Reinbacher K; Schmalstieg D
[Ad] Endereço:Institute for Computer Graphics and Vision, Faculty of Computer Science and Biomedical Engineering, Graz University of Technology, Graz, Austria.
[Ti] Título:Computer-aided position planning of miniplates to treat facial bone defects.
[So] Source:PLoS One;12(8):e0182839, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:In this contribution, a software system for computer-aided position planning of miniplates to treat facial bone defects is proposed. The intra-operatively used bone plates have to be passively adapted on the underlying bone contours for adequate bone fragment stabilization. However, this procedure can lead to frequent intra-operatively performed material readjustments especially in complex surgical cases. Our approach is able to fit a selection of common implant models on the surgeon's desired position in a 3D computer model. This happens with respect to the surrounding anatomical structures, always including the possibility of adjusting both the direction and the position of the used osteosynthesis material. By using the proposed software, surgeons are able to pre-plan the out coming implant in its form and morphology with the aid of a computer-visualized model within a few minutes. Further, the resulting model can be stored in STL file format, the commonly used format for 3D printing. Using this technology, surgeons are able to print the virtual generated implant, or create an individually designed bending tool. This method leads to adapted osteosynthesis materials according to the surrounding anatomy and requires further a minimum amount of money and time.
[Mh] Termos MeSH primário: Placas Ósseas
Arcada Osseodentária/cirurgia
Traumatismos Maxilofaciais/cirurgia
Software
Cirurgia Assistida por Computador/métodos
Cirurgia Bucal/métodos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Feminino
Seres Humanos
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171016
[Lr] Data última revisão:
171016
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170818
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0182839


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[PMID]:28690732
[Au] Autor:Obimakinde OS; Ogundipe KO; Rabiu TB; Okoje VN
[Ad] Endereço:Ekiti State University Teaching Hospital, Ado-Ekiti, Nigeria.
[Ti] Título:Maxillofacial fractures in a budding teaching hospital: a study of pattern of presentation and care.
[So] Source:Pan Afr Med J;26:218, 2017.
[Is] ISSN:1937-8688
[Cp] País de publicação:Uganda
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Previous reports indicated that there is geographic and sociodemographic variation in the epidemiology of maxillofacial fractures. Audit of maxillofacial injuries managed at any institution is therefore necessary to understand the trends and proffer strategies for prevention. We therefore embarked on this study to determine the pattern of maxillofacial fractures and concomitant injuries in our institution. METHODS: We carried out a retrospective review of information on demography, aetiology and type of maxillofacial fracture, patients' status, type of crash, level of consciousness and concomitant injuries. The data collected was analysed with SPSS Version 20. RESULTS: A total of 233 patients aged 2 to 66 years were reviewed. A higher male preponderance (M:F 3.4:1) was observed. Road traffic crashes (RTC) accounted for 78.5% of injuries. Motorcycle related crashes were responsible for 69.4% of RTC and 54.5% of all fractures. Fracture of the mandible (63.2% n=172) was the most predominant skeletal injury and the body (25% n=43) was the most common site of fracture while the zygoma (29%) was predominantly affected in the midface. Ninety three patients (40%) suffered loss of consciousness. The relationship between aetiology of injuries and consciousness level of the patients was statistically significant (p=0.001). Of the 43 patients who had concomitant injuries, craniocerebral affectation (60.5%) was the commonest. CONCLUSION: RTC remains the major aetiology of maxillofacial fractures. The mandible was mostly affected and nearly half of the patients have associated loss of consciousness. There is need for continual advocacy and enforcement of laws on preventive measures among road users.
[Mh] Termos MeSH primário: Acidentes de Trânsito/estatística & dados numéricos
Fraturas Mandibulares/epidemiologia
Traumatismos Maxilofaciais/epidemiologia
Fraturas Zigomáticas/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Criança
Pré-Escolar
Feminino
Hospitais de Ensino
Seres Humanos
Masculino
Fraturas Mandibulares/etiologia
Traumatismos Maxilofaciais/etiologia
Traumatismos Maxilofaciais/patologia
Meia-Idade
Motocicletas
Estudos Retrospectivos
Inconsciência/epidemiologia
Adulto Jovem
Fraturas Zigomáticas/etiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170719
[Lr] Data última revisão:
170719
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170711
[St] Status:MEDLINE
[do] DOI:10.11604/pamj.2017.26.218.11621


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[PMID]:28591339
[Au] Autor:da Silva AP; Sassi FC; Bastos E; Alonso N; de Andrade CRF
[Ad] Endereço:Divisao de Miologia Orofacial, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR.
[Ti] Título:Oral motor and electromyographic characterization of adults with facial fractures: a comparison between different fracture severities.
[So] Source:Clinics (Sao Paulo);72(5):276-283, 2017 May.
[Is] ISSN:1980-5322
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES:: To characterize the oral motor system of adults with facial injuries and to compare the oral motor performance/function between two different groups. METHODS:: An observational, descriptive, cross-sectional study was conducted in 38 patients presenting with facial trauma who were assigned to the Division of Orofacial Myology of a Brazilian School Hospital. Patients were divided into two groups: Group 1 (G1) consisted of 19 patients who were submitted to open reduction of at least one facial fracture, and Group 2 (G2) consisted of 19 individuals who were submitted to closed fracture reduction with maxillomandibular fixation. For comparison purposes, a group of 19 healthy volunteers was recruited. All participants underwent a clinical assessment that included an oral motor evaluation, assessment of the mandibular range of motions, and electromyographic assessment of the masticatory muscles. RESULTS:: Clinical assessment of the oral motor organs indicated that G1 and G2 presented deficits related to the posture, position, and mobility of the oral motor organs. Patients also presented limited mandibular ranges of movement. Deficits were greater for individuals in G1, especially for maximal incisor opening. Additionally, patients in G1 and G2 presented a similar electromyographic profile of the masticatory muscles (i.e., patients with facial fractures presented lower overall muscle activity and significant asymmetrical activity of the masseter muscle during maximum voluntary teeth clenching). CONCLUSION:: Patients in G1 and G2 presented similar functional deficits after fracture treatment. The severity of facial fractures did not influence muscle function/performance 4 months after the correction of fractures.
[Mh] Termos MeSH primário: Fraturas Ósseas/fisiopatologia
Traumatismos Maxilofaciais/fisiopatologia
Atividade Motora/fisiologia
Boca/fisiopatologia
[Mh] Termos MeSH secundário: Adulto
Estudos de Casos e Controles
Estudos Transversais
Eletromiografia/métodos
Face/fisiopatologia
Feminino
Fixação de Fratura/reabilitação
Fraturas Ósseas/reabilitação
Seres Humanos
Masculino
Músculo Masseter/fisiopatologia
Traumatismos Maxilofaciais/reabilitação
Meia-Idade
Postura/fisiologia
Valores de Referência
Índice de Gravidade de Doença
Estatísticas não Paramétricas
Músculo Temporal/fisiopatologia
Fatores de Tempo
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170925
[Lr] Data última revisão:
170925
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170608
[St] Status:MEDLINE


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[PMID]:28474078
[Au] Autor:Li L; Yuan WJ; Chen QL; Yao Y; Huang YB
[Ad] Endereço:Department of Oral and Craniomaxillofacial Science, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai 200011, China. E-mail:sunbook_2001@126.com.
[Ti] Título:[Influential factors analysis of positive psychology in patients with oral and maxillofacial trauma].
[So] Source:Shanghai Kou Qiang Yi Xue;26(1):102-105, 2017 Feb.
[Is] ISSN:1006-7248
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:PURPOSE: To investigate the positive psychological reaction of patients with oral and maxillofacial trauma and related factors. METHODS: One hundred and five hospitalized patients with oral and maxillofacial trauma were investigated by self-designed general data questionnaire, positive psychological scale posttraumatic growth evaluation of quantitative PTG, and self-image questionnaire. SPSS 18.0 software package was used to analyze the data. RESULTS: Positive psychological score of the patients was 56.01±17.322, and self-image average score was 51.33±7.306. There were significant differences between male and female patients after trauma in new possibilities, personal power, self transformation and personal feeling (P<0.05); there was no significant difference between different ages in positive psychological reaction.With the improvement of educational level of patients, better personal power (P=0.031) and self transformation (P=0.01), and more positive psychological reaction were observed; Posttraumatic positive psychology of patients was negatively correlated with self-image score (r=-0.318, P<0.001). CONCLUSIONS: The male patients with oral and maxillofacial trauma have more positive attitude than female. With the improvement of educational level, more positive psychological reaction was documented in term of personal strength, self-transformation,but no obvious change in relationship with others, new possibilities and personal feeling. The better self image, the more positive psychological reaction was displayed.
[Mh] Termos MeSH primário: Traumatismos Maxilofaciais/psicologia
Inquéritos e Questionários
[Mh] Termos MeSH secundário: Emoções
Feminino
Seres Humanos
Masculino
Autoimagem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170608
[Lr] Data última revisão:
170608
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:170506
[St] Status:MEDLINE


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[PMID]:28362252
[Au] Autor:Das D; Salazar L
[Ad] Endereço:Assistant Professor, Associate Director and Co-Fellowship Director, Division of Emergency Ultrasound, Department of Emergency Medicine, Hofstra Northwell School of Medicine, Northwell Health-Staten Island University Hospital, Staten Island, NY.
[Ti] Título:Maxillofacial Trauma: Managing Potentially Dangerous And Disfiguring Complex Injuries.
[So] Source:Emerg Med Pract;19(4):1-24, 2017 Apr.
[Is] ISSN:1559-3908
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Patients with maxillofacial trauma require a careful evaluation due to the anatomical proximity of the maxillofacial region to the head and neck. Facial injuries can range from soft-tissue lacerations and nondisplaced nasal fractures to severe, complex fractures, eye injuries, and possible brain injury. Though the Advanced Trauma Life Support (ATLS) guidelines provide a framework for the management of trauma patients, they do not provide a detailed reference for many subtle or complex facial injuries. This issue adds a more comprehensive and systematic approach to the secondary survey of the maxillofacial area and emergency department management of injuries to the face. In addition to an overall review of maxillofacial trauma pathophysiology, associated injuries, and physical examination, this review will also discuss relevant imaging, treatment, and disposition plans.
[Mh] Termos MeSH primário: Traumatismos Maxilofaciais/terapia
[Mh] Termos MeSH secundário: Serviço Hospitalar de Emergência
Traumatismos Faciais/diagnóstico
Traumatismos Faciais/terapia
Seres Humanos
Maxila/lesões
Traumatismos Maxilofaciais/diagnóstico
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170728
[Lr] Data última revisão:
170728
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170401
[St] Status:MEDLINE


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[PMID]:28341451
[Au] Autor:DeLuke DM; Agarwal V; Holleman T; Carrico CK; Laskin DM
[Ad] Endereço:Associate Professor and Director of Predoctoral Oral and Maxillofacial Surgery, Virginia Commonwealth University School of Dentistry and Virginia Commonwealth University Medical Center, Richmond, VA. Electronic address: dmdeluke@vcu.edu.
[Ti] Título:Is Treating Oral and Maxillofacial Trauma Profitable? An Analysis of Hospital and Surgeon Reimbursement at an Academic Medical Center.
[So] Source:J Oral Maxillofac Surg;75(2):357-361, 2017 Feb.
[Is] ISSN:1531-5053
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: During the past 2 decades, there has been a marked decrease in the willingness of community-based oral and maxillofacial surgeons to participate in trauma call. Although many factors can influence the decision not to take trauma call, 1 primary disincentive is the perception that managing facial trauma might be profitable for the hospital, but not profitable for the surgeon. The purpose of this study was to compare the profitability of facial trauma management for the hospital and the surgeon at the Virginia Commonwealth University (VCU) Medical Center (Richmond, VA). MATERIALS AND METHODS: In this retrospective cohort study, records were collected for patients who were seen for primary trauma management by the Department of Oral and Maxillofacial Surgery at VCU (VCUOMS) from June 2011 through July 2014. Cost and reimbursement data were analyzed for these patients from the VCU Health System (VCUHS) and the VCUOMS. For the hospital, actual cost data were provided; for the surgeon, cost was calculated based on an average overhead of 50%. For uniformity, patients were excluded if they remained in the hospital for longer than a 23-hour observation period. Patients younger than 18 years also were excluded. RESULTS: In total, 169 patients met the inclusion criteria. There was a statistically relevant difference in the percentage of costs recouped and the actual profit. The average percentage of costs recouped was 230% for the VCUHS versus 47% for the VCUOMS. This amounts to an average profit per case of $3,461 for the hospital versus a loss of $1,162 for the surgeon. CONCLUSIONS: The results of this study indicate that in the VCU Medical Center, maxillofacial trauma yields a net profit for the hospital and a net loss for the operating surgeon. Although the results are limited to outpatient management at 1 academic institution, they suggest that hospitals in some settings might be in a position to incentivize surgeons for trauma management.
[Mh] Termos MeSH primário: Traumatismos Maxilofaciais/economia
Boca/lesões
Cirurgia Bucal/economia
[Mh] Termos MeSH secundário: Centros Médicos Acadêmicos/economia
Centros Médicos Acadêmicos/estatística & dados numéricos
Adolescente
Adulto
Idoso
Custos Hospitalares
Seres Humanos
Traumatismos Maxilofaciais/cirurgia
Meia-Idade
Mecanismo de Reembolso/economia
Mecanismo de Reembolso/estatística & dados numéricos
Estudos Retrospectivos
Cirurgia Bucal/estatística & dados numéricos
Virginia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170419
[Lr] Data última revisão:
170419
[Sb] Subgrupo de revista:AIM; D; IM
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BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde